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Royal Medical Center TRT Reviews: What Patients Report and What We Verified

Royal Medical Center TRT reviews are largely positive, but its $195 monthly bundle is not a verified complete bill. Confirm the prescriber, medicines, testing, state authority, and exit terms before paying.

By TRT Provider Guide

Published 2026-09-23 · Last updated 2026-09-23

Last verified: 2026-09-23

Review analysis and verified profile; not a clinician-reviewed assessment.

Educational resource
Evidence Cited

Royal Medical Center TRT reviews are largely positive, but its $195 monthly bundle is not a verified complete bill. It may suit men with confirmed low testosterone who want injections and bundled care—not those needing fertility-first care. Before paying, confirm your prescriber's state authority, each medicine, and the exit terms. 1 7 13

By TRT Provider Guide · Last verified September 2026 · Review analysis and verified profile — we read the records; we did not enroll as patients. This is public-source editorial research, not a clinician-reviewed assessment.

The number What it means
$195/month All-inclusive TRT plan, per RMC's product page 1
$2,340 Twelve payments at $195; an advertised-price subtotal, not a verified complete first-year bill
4.5 / 2,033 reviews Trustpilot, checked September 23, 2026—but only 10 reviews were listed for the last 12 months 7
90 days When RMC says its follow-up labs happen 1
1 named pharmacy group Belmar Pharma Solutions, named in RMC's site footer; the actual dispensing facility still needs confirmation 5 22

Good fit to investigate if: your low testosterone has been confirmed by a clinician from symptoms or signs plus reliable, repeated early-morning testing, you're comfortable with injections, you want labs and shipping built into one price, and you're not trying to have a baby soon. Royal still needs to confirm the exact care and bill for you. 1 13 15

Not your first step if: you have only one low result, an unresolved health concern, or near-term fertility plans. Get a clinical evaluation or fertility-focused care first. Need insurance, a cream, or a specific FDA-approved product? Get written confirmation that Royal can provide that path before paying. 13 15

Royal Medical Center (RMC) has a Florida office, a named physician with an active Florida license, a named pharmacy group, and years of customer reviews. Before you pay, know this: its advertised bundle includes an estrogen blocker, we could not verify a current state list, and the physician it names has a public disciplinary history tied to out-of-state prescribing. That history includes an Oregon order and a later California license surrender. An active Florida license does not erase those records. 1 5 7 8 11 12

How we make money: TRT Provider Guide earns commissions from some providers mentioned on this page, including Male Excel, Hone Health, and Taurus Meds. Every link to RMC here is an ordinary link, not an affiliate link. Links to our comparison guides may lead to pages with disclosed paid provider links. When we point you somewhere else, we tell you why. Affiliate disclosure.

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

This page is educational information, not medical advice. For chest pain, trouble breathing, or sudden one-sided weakness, call 911. A newly swollen, painful leg needs prompt medical care; chest pain or breathing trouble with it is an emergency. 28 29


What we actually verified

Checked September 23, 2026 (unless noted):

  • Royal Medical Center's own pages: all three TRT product pages, the men's FAQ, the About and contact pages, the site footer, and the HIPAA privacy notice.
  • Florida Department of Health records: the named physician's current license page, the accessible practitioner-profile fields, and the printable disciplinary-case listing.
  • The Medical Board of California's official file: the 2024 surrender agreement and the Oregon stipulated order attached to it; we also checked California's published action summary.
  • Trustpilot's RMC profile: summary panel and dated reviews and replies.
  • Belmar Pharma Solutions' published facility list.
  • Primary medical and regulatory sources: the Endocrine Society's guideline and July 2026 statement, FDA notices and prescribing information, DEA and HHS material, and the federal telemedicine rule.
  • Other providers' current pages: Male Excel, Hone Health, and Taurus Meds pricing and relevant public terms, checked September 23, 2026.

What we confirmed: the prices and inclusions Royal advertises; the lower-price pages' naming conflicts; the published 90-day lab check; the named pharmacy group; the physician's Florida license status and the specific public records discussed below; and the Trustpilot snapshot. Confirming a published claim is not the same as testing the service.

What RMC says that we couldn't independently check: delivery of all advertised services, its “no hidden fees” claim, and parts of the physician's biography.

What we could not confirm: a complete patient-specific first-year bill, every required repeat-test charge, a current state roster or assigned prescriber, the exact dispensed testosterone and pharmacy facility, current cancellation and refund terms, or a guaranteed support or refill turnaround. We did not retrieve the underlying Florida disciplinary orders or establish a complete nationwide disciplinary history.

We didn't sign up, pay, or talk to RMC staff. Our process follows How We Review TRT Providers.


What do Royal Medical Center TRT reviews actually say?

Royal Medical Center's Trustpilot profile showed 4.5 out of 5 from 2,033 reviews when checked on September 23, 2026, with 89% five-star ratings and only 10 reviews listed for the prior 12 months. The dated accounts include praise for flat pricing and responsive staff, plus complaints about medication discussions, billing, and communication; they do not establish clinical quality or the terms of a new patient's agreement. 7

A 4.5 from two thousand reviews is a large positive review history. But look closer at when those people wrote. A review count cannot prove that every review is genuine or that the experiences are typical.

What Trustpilot shows What it tells you
2,033 reviews, 4.5 stars A large, positive pool built over years—not a clinical score
89% 5-star · 7% 4-star · 1% 3-star · under 1% 2-star · 2% 1-star The distribution of posted ratings, not the share of all patients who are happy or unhappy
10 reviews in the last 12 months Only a small part of the review pool is recent
Claimed profile since October 2018; paid subscription; invites customers to review Context about the profile and collection process, not proof that reviews are genuine, false, or representative
Replied to 50% of negative reviews, usually within a week A public-review response statistic, not a promise about patient support

Source: Trustpilot's profile snapshot, checked September 23, 2026. The profile covers Royal's business, not only men's TRT. 7

What patients praise

The reviews we checked span several years. Patients like paying one number with nothing added on. They name staff members who answered their calls and emails. Several say they switched from another TRT company and found RMC simpler. Shipping gets praise, too. Those are customer reports, not promises about your bill or delivery. 7

What patients complain about

Here are the complaints worth turning into questions before you pay:

  • The estrogen blocker. A Trustpilot-verified three-star reviewer, Matthew Beachy, said in February 2026 that a clinician pushed an aromatase inhibitor despite his objections. That documents his account of the discussion, not an independent finding that the drug was unnecessary.
  • Billing and shipments. Marcus Jonson reported a double charge and missing pills in a review updated January 8, 2025. RMC replied that it had proof of delivery and records showing no double charge. The disputed pills were a separate medication, not a documented shortage of testosterone.
  • Medical communication. In a July 2024 review, David Reno described not understanding why another doctor's clearance was required. RMC's reply said it would not start treatment during active prostate cancer and would rely on urology clearance after treatment. The review and reply do not establish a diagnosis, cause of illness, or the current policy for every patient.
  • Appointment handling. A July 2024 reviewer using “Ex-Customer” reported a rescheduled visit and a missed-appointment fee. RMC replied that such charges apply after multiple missed appointments. Ask for the current written fee schedule rather than treating either account as your contract. 7

Three reviews, in their own words

These describe service or a medication discussion, not medical results. Each is one person's experience. “Verified” is Trustpilot's label; we did not independently verify the treatment or whether a reviewer had any undisclosed relationship. We did not solicit or pay for these reviews. 7

"What I like best about RMC is the all in one pricing" — “customer,” Trustpilot-verified reviewer, 5 stars, October 6, 2023 7

"ordered on Friday , got tracking Monday arrived at my house Tuesday!" — Richard Barney, Trustpilot, 5 stars, December 17, 2025 7

"insisted I take an AI even though my levels were fine" — Matthew Beachy, Trustpilot-verified reviewer, 3 stars, updated February 16, 2026 7

Richard Barney's review does not establish a TRT-specific delivery time. One fast order is not a refill guarantee.

We never use reviews to show that testosterone works or is safe. Reviews tell you what the service is like. For the medical questions, we go to the guidelines — further down.


Is Royal Medical Center legit? Who is the doctor, and what does his record show?

Royal Medical Center has a Florida office and names Dagoberto Jesus Rodriguez, MD, whose Florida license (ME58463) is clear and active through January 31, 2027. His record also includes an Oregon order over prescribing without an Oregon license and a California license surrender effective October 9, 2024. An active license is not the same as a clean record. 5 8 11 12

This is the part the star ratings can't show you. It's also the part most reviews skip. So we pulled the state records ourselves.

The basics check out

RMC operates from 1000 E Hillsboro Blvd, Suite 102, Deerfield Beach, Florida. A published office address does not establish which visits are available there or who will see you; confirm that when booking. 6

RMC's About page names Dr. Rodriguez and prints his Florida license number. We matched it to the Florida Department of Health's practitioner profile. The license is Clear/Active and expires January 31, 2027. The address on file is RMC's office. He has practiced since 1990. 5 8 9

What the state profile adds

A Florida practitioner profile is an official public record, but it includes practitioner-reported information. Here is what the accessible fields and license records show—not a complete biography or a nationwide license clearance. 8 9

Profile item What the record says
Florida license Clear/Active, expires January 31, 2027 8
Specialty board certification None from a specialty board recognized by the Florida board regulating his profession 9
Malpractice insurance He has elected not to carry it and states that he accepts the applicable financial-responsibility and notice duties 9
Florida discipline and public complaint Both are marked Yes on the license record 8
Florida disciplinary-case listing Two cases appear, with different action labels; details and record dates are below 10
Other-state licenses Practitioner-reported entries—not independent confirmation that each license remains active 9

A few of these deserve plain explanation.

No current recognized board certification is different from no medical license. The profile does not tell us whether he ever passed a specialty exam or held a certification in the past. You can decide how much current specialty certification matters to you. 8 9

No malpractice insurance is the choice reported on his profile. The same disclosure says he agrees to meet Florida's specified financial-responsibility requirements and must post the required notice or give patients a written statement. It is not a finding that every Royal clinician lacks insurance or that the practice is unlawful. 9

The teaching claim. RMC's About page says he has taught family-practice residents at the University of Miami since 2004. We did not independently confirm a current appointment or teaching role. Treat that as RMC's biography, not a credential independently verified here. 5

The Oregon order, in plain English

In July 2019, the Oregon Medical Board opened an investigation into Dr. Rodriguez for prescribing to patients in Oregon without an Oregon medical license. He had applied for one. 11

He signed a stipulated order on July 12, 2021; it became effective when the Board signed on October 7, 2021. It's a settlement. He neither admitted nor denied the conduct. The Board found violations for practicing medicine in Oregon without a license, conduct contrary to medical ethics, and a violation of a federal controlled-substance regulation, 21 CFR 1306.03. He withdrew his Oregon application and agreed never to reapply. 11

The later California surrender

The record did not stop with the 2021 Oregon order. California's Medical Board reports that Dr. Rodriguez surrendered physician's and surgeon's certificate C161735, effective October 9, 2024. Its summary says he made no admissions but faced a charge based on Oregon's discipline. 12

The California agreement says that, when the Board accepts the surrender, he is no longer permitted to practice as a physician and surgeon in California under that certificate. It states that he does not intend to seek relicensure, but it also describes the reinstatement process that would apply if he later does. That is different from the Oregon order's agreement never to reapply. 11

The records we could verify side by side

Record Date or snapshot What it establishes—and the limit
Oregon stipulated order, attached to California's official file Signed July 12, 2021; effective October 7, 2021 The Board made the findings described above; he neither admitted nor denied them, withdrew his application, and agreed never to reapply in Oregon. 11
California surrender agreement and Board action summary Effective October 9, 2024 Surrender of certificate C161735 based on the Oregon matter; not a finding that all Royal clinicians are barred in California. 11 12
Florida license verification Page states data as of September 22, 2026; checked September 23 Clear/Active through January 31, 2027, with discipline and public complaint on file. 8
Florida case 202134687 Printable record image dated July 15, 2026 Action label: “OBLIGATION(S) SATISFIED.” That label applies to this case, not the physician's entire history. 10
Florida case 200004507 Same printable record Action label: “OBLIGATIONS IMPOSED-OTHR PENAL.” The underlying order was not retrieved, so we cannot state the conduct, whether an obligation remains open, or a present practice restriction from that label alone. 10

The downloadable Florida record image has an older date than the current license page. We have kept those dates separate. This table is a verified record cross-check, not a claim that we found every action in every state.

What this record means — and what it doesn't

What it doesn't mean: These records do not establish that RMC is unsafe today or that every current prescription breaks a rule. The current Florida license page is Clear/Active. We did not assess the clinical quality of individual patients' treatment. 8

What it does mean: A state board found, in a settlement, that the named physician prescribed across a state line without the license that state required. That is directly relevant when you compare online TRT. Your clinician needs the license or other lawful authority required where you are physically located during care—not just where you have a home address. 11 24

What to do with it: Before paying anyone—RMC or any online clinic—ask for your prescriber's name and check their current authority with the medical board for the state where you will receive care. An Oregon patient should not assume the physician named on Royal's website can treat them under an Oregon license; a California patient should not rely on a surrendered certificate. Royal would need to identify the actual authorized prescriber. 11 12 24

You do not have to dismiss an active Florida license to take this history seriously. You also do not have to dismiss the history to recognize that the Florida license is active. Check both, then decide whether the assigned clinician and care arrangements meet your needs.

Ready to check who would treat you? We did not find a current Royal state list in the pages checked. Before you give anyone a card number, get two answers: Do you treat patients in my state? and Who would prescribe for me—and what is their license number or other practice authority here?

Ask Royal Medical Center about care in your state → Ordinary link, not an affiliate link. You can also call 1-800-625-3837. 6


The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay.

Map the care route that fits your situation →

The tool is educational and non-diagnostic. It does not diagnose low testosterone, clear medical risks, or decide whether you can receive a prescription.


How much does Royal Medical Center TRT cost?

Royal Medical Center's all-inclusive TRT plan is listed at $195 a month, or $2,340 for twelve payments, with testosterone, supporting medicines, labs, consultations, supplies, and shipping described as included. That is an advertised-price subtotal, not a complete patient quote: confirm repeat testing, billing dates, any other required care, and cancellation charges. A dated customer review reports two-month billing, while Royal's lower-price pages have conflicting names and introductory wording. 1 2 3 7

What the $195 plan includes

According to RMC's product page, the All-Inclusive TRT plan covers:

  • Testosterone injections
  • A "testicular stimulant" — clomiphene, enclomiphene, or gonadorelin
  • An estrogen blocker
  • Ongoing lab work, with follow-up labs 90 days after you start
  • Physician consultations and monitoring
  • A physical exam "annually or as directed by your physician"
  • Supplies and free shipping 1

RMC's page says “No hidden fees.” We didn't test that through enrollment or obtain a patient agreement. The $195 figure is consistent in the all-inclusive offer we checked; what remains unconfirmed is every charge that could apply to a particular patient. 1

The two-month billing surprise

A September 2024 review by Phil Scott II reports two-month billing. RMC's own FAQ describes medication supplies intended to last about eight to nine weeks. A shipment interval is not proof of a current billing interval, so ask Royal to confirm both. 4 7

On a two-month billing arrangement at $195 per month, your card would see $390 at a time, not $195. Six charges of $390 total $2,340. But we did not verify that this is every patient's current contract or that six shipments cover every day of a first year.

The cheaper plans: names and prices that do not line up

This is where RMC's own site gets confusing. The lower-cost pages retain introductory-price wording while their visible offers use different plan names:

Where on RMC's site What it says
The $75 product's web address /testosterone-75/ 2
That product's headline and listed price “Testosterone Only Therapy – $75”; $75/month 2
Its page title “Low Testosterone Therapy $89 First Month” 2
The second product's headline and listed price “Testosterone/Anastrozole Therapy – $89”; $89/month 3
That second product's description Calls it “Testosterone Only Therapy,” but says an estrogen blocker is included 3

The “testosterone-only” labels don't fully match what's inside, either. The $75 page's opening description includes an estrogen blocker. Its own list of what's included doesn't mention one. 2

We could not verify a current $119 renewal price from the offer pages checked. An old-looking page title or a promotional web address is not enough to establish the next charge. Ask which offer applies, whether any price is introductory, and what changes after the first month.

What twelve payments would total at each displayed monthly price:

Published offer Calculation Advertised-price subtotal
Testosterone Only, $75/month $75 × 12 $900
Testosterone/Anastrozole, $89/month $89 × 12 $1,068
All-Inclusive TRT, $195/month $195 × 12 $2,340

Provider-published prices checked September 23, 2026; arithmetic assumes the same price for all twelve payments. 1 2 3

Treat every row as a subtotal, not a verified complete cost. If a charge is unknown, we don't count it as $0—we tell you to ask.

What belongs in your complete first-year quote?

Cost or term What the public pages establish What to settle in writing
Initial and routine labs Royal lists labs with the offers. 1 2 3 Exact panel, collection method, lab vendor, and whether every required early-morning confirmation test is included
Consultations and follow-up Royal's all-inclusive offer and FAQ describe consultations and monitoring. 1 4 Medical access between visits, extra specialist or missed-visit fees, and clinician review of results
Physical examination Annual or as directed by the clinician. 1 Where it happens, who performs it, and any separate charge
Medication and supplies The $195 offer describes medication, supplies, and shipping as included. 1 Actual prescription, days supplied, refill dates, and whether a changed prescription changes the bill
Lower-price offers Public descriptions are narrower and inconsistent. 2 3 Whether supplies, shipping, all consultations, and repeat testing are included
Ending care No current patient cancellation agreement was obtained. Notice, minimum commitment, refunds, promotional conditions, and remaining charges

Your complete budget is the sum of the actual invoices due during your first twelve months, plus required costs paid elsewhere. Do not add a charge twice when it is truly included, and do not assume a missing amount is free.

Insurance, HSA, and FSA

We did not confirm a current plan-specific insurance policy for RMC's TRT programs. The physician's state profile says he does not participate in Medicaid; that does not establish the billing policy of every Royal clinician, laboratory, or pharmacy. 9

Get separate answers about the program fee, visits, labs, and prescription. Do not assume reimbursement or HSA/FSA eligibility from the advertised monthly price. Ask RMC for an itemized receipt that names the service, the date, and the amount, then check it with your insurer or plan administrator.

Any price-match promise needs written terms

We did not obtain current written terms for a Royal price-match guarantee. Before relying on any such promise, ask which competing quote qualifies, what care must match, how to claim it, and whether the lower price continues after the first bill.

If one flat price was the reason you searched, you're in the right place — just make it official. Call or message RMC and ask for a written quote: the exact monthly price, how often your card is charged, and whether that price is locked.

Request a written quote from Royal Medical Center → Ordinary link, not an affiliate link.


What medicines come in the box — and are they FDA-approved?

Royal Medical Center's all-inclusive offer lists testosterone injections, an estrogen blocker, and a “testicular stimulant,” but its FAQ says supporting medicines are used if needed and its product pages allow customized regimens. The pages do not identify the exact testosterone product you would receive or settle whether it is compounded or FDA-approved. Ask for the prescription details and the reason for each medicine before paying. 1 4

What the published plans list

Plan Testosterone treatment format Separately classified supporting medicine—not TRT Published lab information Price shown
All-Inclusive TRT Injections Estrogen blocker; clomiphene, enclomiphene, or gonadorelin listed Included; follow-up at 90 days $195/month 1
Testosterone/Anastrozole Injections Estrogen blocker included in the offer description Routine labs; follow-up at 90 days $89/month 3
Testosterone Only Injections Estrogen-blocker descriptions disagree Routine labs; follow-up at 90 days $75/month 2

“Listed” means advertised, not that every patient must receive the same prescription. The approval status of your actual testosterone remains a separate question.

The estrogen blocker

RMC calls it an “estrogen blocker.” Anastrozole is an aromatase inhibitor (AI): it reduces the conversion of androgens, including testosterone, to estrogens. Its FDA-approved labeling covers specified breast-cancer uses in postmenopausal women, not routine use with men's TRT. Male use is off-label. 3 20

An estrogen blocker appears in the $195 and $89 offer descriptions. But RMC's FAQ says supporting medicines are used “if needed.” Those are not the same as a requirement that every patient take one. 1 3 4

A drug you may not need is part of the advertised bundle. That doesn't make it wrong for you—your clinician may have a reason. Ask what clinical findings it's based on, what the risks and alternatives are, and whether it can be left out when it is not indicated. That is the medication-discussion concern raised in the February 2026 review; a public review cannot settle the medical decision. 7

The "testicular stimulant"

RMC's all-inclusive plan lists clomiphene, enclomiphene, or gonadorelin. These are not testosterone. RMC describes them as supporting testicular function and helping prevent shrinkage; that is a provider claim, not proof that a particular prescription will preserve sperm production. 1

A few facts to hold onto:

  • Clomiphene has FDA-approved products for ovulatory dysfunction in women who want to become pregnant. Using it in men is off-label. An individually compounded clomiphene preparation is not itself FDA-approved. 18 17
  • Enclomiphene: FDA's published compounding review identifies it as an unapproved standalone drug. A compounded enclomiphene preparation is not FDA-approved and should not be described as merely an off-label use of an approved enclomiphene product. 19 17
  • Gonadorelin is another non-testosterone medicine named in Royal's offer. Royal does not identify a specific product or approval record for the one a patient would receive. Do not assume the name alone establishes an FDA-approved TRT add-on. 1
  • hCG, mentioned separately in Royal's FAQ, is not TRT either. Some hCG products have an approved use in selected men with hypogonadotropic hypogonadism—a problem with the hormone signals that stimulate the testes. That does not establish approval of every fertility use or promise preserved fertility when combined with testosterone. 4 21

These medicines are not interchangeable with testosterone or with one another. RMC's claims about “sperm volume” do not establish sperm count, sperm quality, or a chance of pregnancy. If fertility matters, see the fertility section below before you decide anything. 1 13

Compounded or FDA-approved?

FDA-approved testosterone products and compounded testosterone preparations are different categories. Keep them separate.

  • FDA-approved testosterone products are reviewed by the FDA and carry approved prescribing information, including warnings. 16
  • Compounded testosterone preparations are made through compounding. The FDA doesn't review them for safety, effectiveness, or quality before they are marketed, and they are not FDA-approved. 17

RMC's own product pages say: “The FDA does not verify the safety, effectiveness, or quality of compounded drugs offered at our clinic.” That disclaimer does not identify the status of each individual prescription. 1

What RMC doesn't say is which kind your testosterone vial will be. Its medication images carry a notice that they don't show the exact product dispensed. So ask directly: "Is my testosterone a compounded preparation or an FDA-approved product, and what's the exact name?" 1 2 3

Who fills the prescription

RMC's site footer names Belmar Pharma Solutions as its dispensing pharmacy. That is a pharmacy group, not one confirmed dispensing location. Belmar's facility directory currently lists five 503A pharmacies—in Colorado, Florida, Kansas, Arizona, and Wisconsin—and two 503B outsourcing facilities, both in Colorado. 5 22

Ask RMC which Belmar location will fill yours, then verify that facility's license and authority to ship to your state. We did not confirm an individual patient's pharmacy, inspect a dispensed vial, or audit the facility's regulatory history. Naming a pharmacy is useful disclosure; it is not proof of FDA approval or a clean inspection record.


How does signing up work, and can Royal Medical Center treat you in your state?

Royal describes intake, lab review, a consultation, and home shipment if a clinician prescribes treatment, with follow-up labs at 90 days. We did not verify a current state roster or your assigned clinician, and federal telemedicine flexibility through December 31, 2026 does not by itself establish that Royal can treat you without an in-person visit. Confirm the requirements for the state where you will be during care. 1 4 23 24

The steps, as RMC describes them

  1. Intake. Fill out RMC's online medical form or call 1-800-625-3837.
  2. Labs and history. RMC reviews your blood work and health history.
  3. Consultation. A clinician decides whether treatment is appropriate. Nothing guarantees a prescription.
  4. Shipment. If you're prescribed, medication and supplies ship to your home.
  5. Follow-up. Labs again at 90 days, then as your clinician directs; the offer describes a physical exam annually or as directed. 1 4

One small thing that trips people up: the “Schedule Your Consultation” link on RMC's men's FAQ opened a peptide inquiry form when checked. For TRT questions, use its general contact page or call. 4 6

Are two early-morning tests required—and included?

For a new diagnosis, the Endocrine Society calls for symptoms or signs plus consistently low testosterone measured with accurate tests, with repeat early-morning fasting testing. One low result, symptoms alone, or one cutoff does not diagnose low testosterone. A clinician also needs to assess the cause. 13 15

Royal says it reviews blood work and includes labs, but the public offers do not settle whether every required confirmation test is included or what it costs. Ask which lab does the testing, whether collection is at home or at a lab, when the sample must be taken, and whether suitable outside results can be accepted. A patient transferring care should ask the new clinician which earlier records can be used rather than automatically buying duplicate tests. 1 2 3 4

See our testosterone testing guide for the questions to take to an evaluation.

How quickly will medication and refills arrive?

We did not verify a current guaranteed first-shipment or refill time. Royal's FAQ describes supplies of about eight to nine weeks, with shorter amounts in some states, but that does not tell you when an order will be approved, filled, dispatched, or delivered. 4

Ask who requests each refill, whether labs or a visit are needed before approval, how far ahead to contact the team, and who handles a delayed shipment. Get the medical-contact path as well as the tracking number; a shipping clerk cannot decide a treatment change.

Which states does RMC serve?

We did not find a current state roster in the Royal pages checked. Its FAQ says some states allow only a one-month medication supply, but that does not identify the states currently served or establish appointment availability. 4

Reviewers name clinicians other than Dr. Rodriguez. His Florida profile also lists practitioner-reported licenses in other states and D.C., but that is not a current license check. The list includes California even though California's Board reports the later surrender, which is why the destination state's own record matters. 7 9 12

Your prescriber needs the authority required where you are physically located for care. Given the Oregon history above, this is the one question you shouldn't skip. 11 24

Do you need an in-person visit?

Testosterone is a Schedule III controlled substance. That means it requires a valid prescription, and federal law has extra rules for prescribing it remotely. 25 23

Federal law generally requires an in-person evaluation before prescribing controlled substances over the internet unless an exception applies. The current DEA/HHS temporary pathway permits qualifying telemedicine prescribing without a prior in-person examination through December 31, 2026, subject to its conditions, required registration, legitimate medical purpose, and applicable federal and state law. For testosterone, that pathway uses the required real-time audio-video encounter—not a questionnaire-only approval. 23

Ask RMC plainly: “Do I need an in-person exam now, and how will care continue if the rules change after December 2026?” A state rule or your medical needs may require an exam sooner. A Florida office address alone does not establish that your required exam can be done there. 6 24

Our online versus local TRT guide explains the care-model questions to compare.


Is TRT with Royal Medical Center safe? What should be monitored?

Testosterone is a prescription drug with real risks, whoever prescribes it. Royal lists labs at 90 days, while the Endocrine Society calls for ongoing assessment of symptoms, adverse effects, testosterone, blood counts, and appropriate prostate monitoring. A clinic's lab-inclusion claim or customer rating cannot establish that a particular treatment plan is safe for you. 1 13 14

What should be watched

The Endocrine Society's guideline calls for a monitoring plan, not just a testosterone number:

  • Testosterone level and symptoms. The guideline describes checking testosterone at 3–6 months, depending on the treatment format, then at 12 months and annually, with review of response and side effects. Your clinician may need earlier or more frequent checks. 14
  • Hematocrit. This is the share of your blood made up of red blood cells. Testosterone can push it up. The Society describes checking it before treatment, at 3–6 months, and then yearly. 14 39
  • PSA and prostate assessment. Prostate-specific antigen is a blood marker used in prostate evaluation. Screening and monitoring depend on age, risk, and a discussion with the clinician—not one identical test schedule for everyone. 13 14
  • Blood pressure. In February 2025, the FDA required class-wide blood-pressure warning updates and removal of older boxed-warning language about increased cardiovascular outcomes after reviewing TRAVERSE. Those changes do not mean testosterone is risk-free or that the trial proves the safety of every formulation or compounded preparation. 16

The labeling update did not end in 2025. On June 18, 2026, HHS announced that FDA was requesting removal of the age-related-hypogonadism limitation of use and changes to prostate-cancer and enlarged-prostate information. The announcement describes requested revisions, not proof that every product label has already changed. Your clinician should check the exact product's current prescribing information and your own risks; this does not replace diagnosis or monitoring. 37 15

Compounded preparations do not have FDA-approved prescribing information. That is different from having no labels or warnings at all. 17

What the review reports can—and cannot—tell you

Some Royal reviewers reported very high testosterone results or concern about prostate testing. We did not verify their laboratory records, sample timing, diagnosis, or treatment. Those accounts cannot establish that TRT caused an illness, that a specific result was safe, or what a reader should change. 7

They do point to a useful service question: “After the first 90 days, how often will you check my testosterone and hematocrit, what prostate monitoring is appropriate for me, and who reviews the results?” Royal needs to answer that for your plan. 1 14

Who needs a fuller clinical assessment before choosing a subscription?

The Endocrine Society's 2018 guideline recommends against starting testosterone in men with any of the following:

  • Breast or prostate cancer
  • A prostate lump, or a PSA above 4 ng/mL (above 3 for men at higher risk) without a urologist's evaluation
  • High hematocrit
  • Untreated severe sleep apnea
  • Severe urinary symptoms
  • Uncontrolled heart failure
  • A heart attack or stroke in the last 6 months
  • Thrombophilia—a condition that raises the risk of blood clots
  • Plans to have a child in the near term 13

These are the Society's guideline recommendations, not a claim that every current product label is identical. FDA's June 2026 requested revisions would narrow the prostate-cancer contraindication to metastatic cancer; its announcement still calls for risk assessment and monitoring. A prostate-cancer history needs specialist review, not self-clearance from either a checklist or a label headline. 37

If any of these fit you, start with your own doctor, a urologist, or an endocrinologist—not a treatment checkout. The clinician should decide whether treatment is appropriate, whether further testing or specialist care is needed, and which care setting can provide it.

When children are part of your plans

This one gets its own space because it matters so much.

Testosterone from outside your body can suppress the hormone signals that support sperm production. That can lower or stop sperm production. Do not rely on a promised recovery date or assume treatment is contraception. Fertility needs its own assessment. 14

The Endocrine Society's guideline recommends against testosterone therapy in men planning fertility in the near term. RMC's plan includes drugs described as supporting testicular function, but that is not the same as a fertility plan. Discuss current and future plans with a reproductive urologist or another fertility-aware clinician before choosing treatment; a semen test and fertility counseling answer questions that a testosterone level alone cannot. 1 13 14

For that decision, see TRT and fertility.

Not sure whether TRT, a fertility specialist, or more testing is the right first step? TRT Provider Guide's Find My TRT Path tool maps your situation to a care route and the questions to bring. It's educational — it doesn't diagnose you or decide your eligibility.

Find the right first step for your situation →


What happens if you cancel or switch clinics?

We did not locate a current cancellation, refund, or minimum-term agreement in the Royal pages reviewed, so the public information does not establish your exit cost. Get the terms in writing before you pay. Remember that stopping billing is not the same as a plan for stopping or changing treatment.

What to get in writing before you start

  • Is there a minimum commitment?
  • How much notice do you need to cancel, and how — phone, email, or portal?
  • Will I get written confirmation that I've cancelled?
  • If I leave after month two, what would I owe?
  • Are shipped medications refundable, and what happens to any pending order?

If you're already a patient and something's off

  • A charge you didn't expect: ask for your billing dates and amounts in writing. Check whether you're on a two-month cycle.
  • Something missing from a shipment: photograph the package when it arrives. In a public reply, RMC said it works with the pharmacy using proof of delivery. Keep the item list and invoice too; that reply does not establish the outcome of your claim. 7
  • A medicine you don't think you need: ask your prescriber what clinical findings it's based on. Don't stop or change any medicine on your own. Ask first.
  • You want to switch: request copies of your lab results, prescriptions, visit notes, and billing records, and arrange the medical handoff with your clinicians. HIPAA generally gives you access to records held by covered providers and plans, with limited exceptions; a billing dispute is not a reason to withhold your copy. 27

Royal's own HIPAA notice describes record-access rights and lists a privacy contact at 844-965-0305. Ask for its request process, format, timing, and any permitted copying charge. We did not test a records request or verify the security of Royal's systems. 26

Thinking about moving to another provider? Sort out where you're going before you cancel anything.

Map your care route before you switch →


What is the real trade-off with Royal Medical Center?

Royal's public TRT offers focus on injections and a bundled-care price, but they do not identify every patient's prescription, pharmacy facility, or final bill. That can appeal to a reader who values a single program charge; it is not proof that the bundle is mandatory, cheaper than every alternative, or clinically right for everyone. 1 2 3

The public Royal TRT offers we checked describe injections; we did not find a published cream or gel plan. Its FAQ also says supporting medicines are used if needed. Ask Royal to resolve your format and add-on questions before assuming another service is necessary. 1 4

Its $195 offer says it covers the testosterone, the lab work, the doctor visits, and the shipping. For the man who wants injections, labs, and a predictable bill, that version of simple may be exactly the point—once the written quote confirms it. A clinic's advertised bundle is a reason to ask for the agreement, not a reason to skip reading it. 1


How does Royal Medical Center compare with other online TRT options?

Royal's $195 offer combines more advertised charges into one price, while the other providers use different fees, prescription packages, and billing units. None of the figures below is a verified complete patient quote, so this evidence does not support calling Royal—or an affiliate—the cheapest complete option. Compare the care requirement that made you look beyond Royal, then compare written totals. 1 30 32 33 35 36

Decision point Royal Medical Center Male Excel Hone Health Taurus Meds
Reproducible price model—not a complete first-year bill $2,340 for twelve $195 payments; lower listed offers calculate to $900 or $1,068 1 2 3 $2,727 injection-package model / $2,871 cream-package model, before shipping and unconfirmed extras 30 Plus: $1,620 in twelve membership payments; Premium: $1,860. Medication and startup tests are extra. 32 33 $1,837 = $49 start + twelve $149 payments on the campaign; a separate recurring-fee question remains 35 36
How the advertised charges work $195/month; one dated review reports two-month billing 1 7 $99 one-time consultation + $99/month membership + medication packages from $120/month equivalent for injections or $132 for cream; medication billed in 60-day supplies 30 $135/month Plus or $155/month Premium; prescriptions billed separately 32 33 Campaign: $49 lab and consultation, then $149/month after clinical approval; formal terms also describe $17.99 per billing period unless otherwise stated 35 36
Testosterone treatment formats listed Injections; exact FDA-approved versus compounded product unconfirmed 1 Injections and compounded cream 30 38 Injections, compounded cream, and compounded dissolvable troches; verify the exact injection product 32 33 Campaign lists testosterone cypionate injections and gel; exact product approval, pharmacy, and plan inclusions need confirmation 35
Non-testosterone options or supporting drugs Estrogen blocker and a “testicular stimulant” in the advertised bundle; FAQ says supporting medicines are used if needed 1 4 The advertised injection and cream packages include thyroid medication; non-testosterone treatment is a separate category 30 Anastrozole has a separate listed price; clomiphene and enclomiphene are not TRT 32 Campaign also lists enclomiphene separately; it is not TRT, and its price is not established by the testosterone offer 35
Pharmacy disclosure checked here Belmar group named; patient-specific facility not verified 5 Patient-specific pharmacy not verified Patient-specific pharmacy not verified Patient-specific pharmacy not verified
Public state information No current roster verified from the pages checked Homepage lists state exclusions; not all states 31 Publishes a state-by-plan list 34 Current plan-specific availability needs confirmation
In-person care Florida office address verified; ask which clinical visits can occur there 6 Ask how any required exam is arranged Ask how any required exam is arranged Ask how any required exam is arranged

Provider sources checked September 23, 2026. An unverified cell is not a claim that a service is unavailable.

Male Excel's arithmetic: $99 + 12 × ($99 + $120) = $2,727 for the advertised injection package; $99 + 12 × ($99 + $132) = $2,871 for cream. The advertised packages include thyroid medication. Six 60-day supplies cover 360 days, not 365; another refill invoice could fall within a first-year cash budget. These models do not include every possible shipping, supply, or testing charge. 30

Hone's membership is not the full bill. Its Plus page lists a $45 initial test and a paid confirmation option; Premium lists $65 initially and $25 for confirmation. Both list testosterone injections from $28 per vial, not a guaranteed $28 monthly prescription. Confirm the applicable testing policy and actual medication invoices. 32 33

Taurus's fee needs an answer. Its campaign describes $149/month as all-inclusive, but its terms describe $17.99 per billing period unless otherwise stated. We did not establish whether that fee is included, waived, or additional for this offer. If it were additional in each of twelve monthly periods, the same arithmetic would be $2,052.88—not $1,837. Its campaign also repeats injection wording under different product headings, so confirm the actual drug and treatment format rather than relying on those descriptions. 35 36

Which one fits you?

If you… Best place to start Why
Have confirmed low testosterone, want injections, and value a bundled bill Ask Royal for an itemized quote Its published $195 offer bundles several charges; that is a reason to investigate, not a proven lowest complete price. 1
Live in South Florida and want in-person visits Ask Royal which visits it can book in person Its office address is verified; appointment type and clinician still need confirmation. 6
Do not want an estrogen blocker without a clear clinical reason Ask Royal's prescriber first Its own FAQ says supporting drugs are used if needed. Hone's separate-price model is a comparison option, not proof of a better prescribing policy. 4 32
Would rather use a cream than a needle Compare a verified cream pathway Male Excel and Hone publish compounded creams; a need for an FDA-approved product is a different question. 32 38
Need insurance or a named FDA-approved product Your primary care doctor, a urologist, or another suitable in-network clinician Confirm the exact product and dispensing benefits rather than assuming a cash subscription meets that need.
Are planning fertility in the near term A reproductive urologist or another fertility-aware specialist Testosterone can suppress sperm production; an add-on is not a fertility guarantee. 13 14
Have not had low testosterone properly evaluated Clinical evaluation; Find My TRT Path for questions to bring Symptoms, accurate testing, and the cause need evaluation before a treatment commitment. 13 15

If the built-in estrogen blocker is the sticking point, ask Royal whether it can be omitted when not medically indicated. Hone lists anastrozole separately, but a separate price is not proof that its clinicians use a better threshold or that your total would match Royal's. 4 32

Compare Hone Health's membership, lab, and medication costs → TRT Provider Guide cost guide; Hone Health is an affiliate partner. The guide discloses its paid links.

If needles are the sticking point, Male Excel offers a compounded testosterone cream. Royal's public TRT offers checked here describe injections, but we did not confirm that it can never provide another format. Male Excel's advertised cream-package model is $531 above twelve $195 Royal payments—before unresolved charges and billing-date differences. It's a format comparison, not a claim of better care or a complete savings estimate. 1 30 38

Review Male Excel's cream-package cost and extra charges → TRT Provider Guide cost guide; Male Excel is an affiliate partner. The guide discloses its paid links.


What did we find that doesn't flatter our own partners?

Male Excel, Hone Health, and Taurus Meds are affiliate partners. Royal's links on this page are ordinary links, and the evidence does not support an automatic winner. Here's what cuts against choosing an affiliate just because it is an affiliate:

  • Royal's advertised subtotal is lower than Male Excel's package models. Twelve $195 payments are $387 below the $2,727 injection-package model and $531 below the $2,871 cream-package model. These are differences between the stated calculations, not verified complete-cost savings. 1 30
  • A recent RMC review names Male Excel unfavorably. A September 2, 2026 Royal reviewer using “g j” reported spending thousands at Male Excel and not receiving follow-up blood work. It's one person's account, and we can't verify it. It is service-experience evidence, not proof of typical care or medical outcomes. 7
  • Male Excel bundles a second drug, too. Its current advertised low-T packages pair the principal medicine with thyroid medication. That's the same “why is a second medicine in the package?” question we raise about Royal's estrogen blocker. Ask either company what is clinically needed, what can be omitted, and how that affects the price. 30
  • Taurus's low number leaves a fee question. Its advertised bundle and general recurring-fee terms need to be reconciled before calling $1,837 a complete first-year cost. 35 36
  • Run the license check on everyone. We didn't audit the disciplinary records of our partners' prescribers the way we did here. Check the actual assigned clinician with the relevant state authority for any provider you choose. 24

What 12 questions should you ask Royal Medical Center before you pay?

The missing patient-specific details belong in a written quote and care agreement. Ask these, write down the answers, and note the name of the person you spoke with and the date; a call alone is not a substitute for the terms you accept.

Price and billing

  1. What is my exact monthly price, and is it the same after month one?
  2. How often is my card charged, and how much each time?
  3. Is there a minimum commitment? What would I owe if I left after month two?
  4. How do I cancel, and will I get written confirmation?

Your prescriber

  1. Who will prescribe for me, and what is their license number or other practice authority in the state where I'll receive care?
  2. Will I need an in-person exam now, and what is the plan if requirements change after December 2026?

Your medicine

  1. Is my testosterone a compounded preparation or an FDA-approved product? What's the exact name?
  2. Which Belmar pharmacy location will fill it?
  3. What clinical findings would justify the estrogen blocker, and can it be left out when not indicated?
  4. Why is the testicular stimulant in my plan, and which one would I get?

Your monitoring

  1. After 90 days, how often will you check testosterone and hematocrit, and what prostate monitoring is appropriate for me?
  2. Who can I reach with a medical question between visits?

Only have time for two? Ask #2 and #5. They establish the payment you are agreeing to and who would actually prescribe. That is a starting point—not a reason to skip the medicine, testing, or exit terms.

Copy this request into your message to Royal

Please send me an itemized quote and the agreement that would apply to my care. Confirm the initial and ongoing price, each billing date and amount, any minimum term, and the exact cancellation and refund process. Please identify the clinician authorized to treat me where I will be located, the testosterone product and whether it is FDA-approved or compounded, and the dispensing pharmacy location. State which labs, repeat early-morning confirmation tests, consultations, physical exams, supplies, shipping, and follow-up visits are included or charged separately. Please explain the reason for any supporting medicine, how medical questions and refills are handled, and how I can obtain or transfer my records.

Save the reply with the quote date and the name of the person who answered. Match it to the agreement before entering payment details. An unanswered charge stays unknown; it does not become $0.

Got your list? Then you're ready for the call. Royal's written answers will show whether the plan matches what you need.

Contact Royal Medical Center with your questions → Ordinary link, not an affiliate link. Phone: 1-800-625-3837, Monday–Friday. 6


How did we check Royal Medical Center?

We read Royal Medical Center's own pages side by side, checked the named physician's public records, read dated reviews, checked the named pharmacy group's facility list, and did the price math ourselves. We didn't enroll, pay, or contact RMC. Public sources were checked September 23, 2026; older reviews and record snapshots are labeled by their own dates.

We sort every claim into four kinds:

  • Verified fact—something established by an official record or our reproducible calculation, such as the Florida license status or twelve payments at a listed price.
  • Provider-stated—something RMC says about its care, prices, or terms. We can verify that a price is published without verifying that it is every patient's final bill.
  • Customer experience—what an attributable reviewer reported. It raises service questions, not proof of clinical results or a current contract.
  • Our judgment—conclusions we draw from the facts above, such as who should ask Royal for more information and who needs a different care route.

We have not assigned Royal a numeric score. The full process is in How We Review TRT Providers.

Sources we used: Royal's $195 plan, $75 plan, $89 plan, men's FAQ, About page, contact page, and privacy notice; Florida license verification, practitioner-profile fields, and printable case listing; California's surrender file with the Oregon order attached and Board action summary; Trustpilot; Belmar's facility directory; the Endocrine Society guideline, full guideline text, and July 2026 statement; FDA's 2025 labeling update, the June 2026 HHS announcement of requested label revisions, compounding guidance, and the linked medicine labels; DEA's scheduling information, the federal telemedicine extension, HHS licensure guidance, and medical-record access guidance; and the linked official provider pricing and terms pages.

Our editorial standards, privacy policy, and affiliate disclosure explain how TRT Provider Guide—the independent decision resource for testosterone replacement therapy care—handles its own publishing and data practices. This article makes no separate HIPAA promise about the decision tool.

Found something out of date? Tell us through our corrections process and we'll re-check it.


What else should you know about Royal Medical Center TRT?

Royal's public offers answer some questions, but they do not replace your own quote, prescription, or care agreement. These answers separate published details from the points that still need written confirmation.

Is Royal Medical Center legit? It has a Florida office and names a physician whose Florida license is active. That physician also has an Oregon disciplinary order and a California license surrender on record. Verify the actual prescriber's current authority where you will receive care; an active Florida license is not a nationwide clearance or a clinical-quality guarantee. 5 8 11 12

How much is Royal Medical Center TRT per month? The all-inclusive plan is listed at $195 a month. The lower-price pages list $75 and $89, with conflicting introductory wording and plan descriptions. We did not verify a $119 renewal rate from the current offer pages; ask for the exact ongoing price in writing. 1 2 3

What does the $195 plan include? According to RMC: testosterone injections, an estrogen blocker, a testicular stimulant, lab work, physician consultations, supplies, and shipping. These are advertised inclusions, not confirmation of every patient's prescription or charge. 1

Is Royal Medical Center billed monthly? The price is quoted monthly, but a September 2024 reviewer reported two-month billing. At $195 per month, that arrangement would mean $390 per charge. Ask RMC to confirm your current billing cycle rather than relying on that older review. 1 7

Does Royal Medical Center take insurance? We did not confirm a current plan-specific policy. Ask separately about the program, consultations, labs, and medication, and check any reimbursement or HSA/FSA claim with your insurer or plan administrator. The named physician's Medicaid non-participation is not a complete Royal insurance policy. 9

What states does Royal Medical Center serve? We did not verify a current published roster. Ask before you pay and confirm the assigned clinician's authority in the state where you will be physically located during care. 24

Who is the doctor at Royal Medical Center? RMC names Dagoberto Jesus Rodriguez, MD, Florida license ME58463. Its biography says he completed his residency at Emory. Reviewers also mention other clinicians, so ask who would treat you; the website biography is not a guarantee of your assigned prescriber. 5 7 8

Did the Royal Medical Center doctor get disciplined? Yes. The Oregon order effective October 7, 2021 contains Board findings over prescribing without an Oregon license; he neither admitted nor denied the conduct and agreed never to reapply there. California later reported surrender of his certificate effective October 9, 2024. His Florida license is currently Clear/Active, with discipline on file. 8 11 12

Is Royal Medical Center's testosterone FDA-approved? RMC doesn't say. It names a compounding pharmacy and states that compounded drugs aren't FDA-approved. Ask whether your prescription will be compounded or an FDA-approved product. The pharmacy name alone does not settle approval status. 1 5 17

Why does Royal Medical Center include an estrogen blocker? RMC says it is intended to manage estrogen, and an estrogen blocker appears in the $195 and $89 offer descriptions. Its FAQ says supporting medicines are used if needed. Ask what clinical findings justify it in your case and whether it can be omitted when not indicated; the advertised bundle does not establish mandatory use. 1 3 4

How often does Royal Medical Center check labs? Royal lists follow-up labs 90 days after starting and a physical annually or as directed. The Endocrine Society describes testosterone and hematocrit checks at 3–6 months, then 12 months and annually, with testing tailored to the treatment and patient. Ask Royal to put your own schedule and any extra fees in writing. 1 14

How do I cancel Royal Medical Center? We did not obtain its current cancellation agreement. Ask the office for the accepted cancellation method, notice period, written confirmation, remaining charges, and handling of pending shipments. Arrange the clinical handoff separately from ending payments. 6

Is Royal Medical Center a good choice if I want kids? Not as the first step when near-term fertility is a priority. Testosterone can suppress sperm production, and a bundled supporting medicine is not a fertility guarantee. Start with a reproductive urologist or another fertility-aware clinician. 13 14

Is Royal Medical Center the same as Royal Men's Medical Center? Some reviews use the older wording “Royal Men's Medical Center” or “RMMC.” Check the website, address, and entity on your actual agreement rather than assuming every similarly named clinic is the same business. This profile concerns royalmedicalcenters.com and its listed Deerfield Beach office. 5 7

Does Royal Medical Center see patients in person? Royal lists an office at 1000 E Hillsboro Blvd, Suite 102, in Deerfield Beach, Florida, with weekday contact hours. Ask which clinical visits are offered there, who will see you, and whether that visit meets any required physical-exam rules. We did not test in-person booking. 6

Does Royal Medical Center treat women? It markets hormone programs for women. This page covers men's testosterone therapy only. It is not a guide to pediatric or gender-affirming hormone care. 5


Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.

By TRT Provider Guide. Last verified September 23, 2026. Educational information, not medical advice. TRT Provider Guide is not a clinic, pharmacy, laboratory, or medical practice. How We Review TRT Providers · Affiliate disclosure · Corrections

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